Death Certificate - Harkness, John W_2/8/1995: ,- �
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ItECORD OF DEATH
GIBSON COUNTY DEP.�.I2T1\SENT OF HEALTH
PRIhCETON, INDIANA
TiiIS IS TO CERTIFI', that our records show TOHN ��! HnRKNt'�^ died
1/2�/82 at 1:30PDi 330 Da�e �� naklanri ri+�. =nd
month day Year hour of death street, hospital, rural
Age at Death 74 Cer N' Color j�h • Marital Statu� na _
years write whether married or single
primary cause of death given was Cancer of the colon, metastatic to the lune
Signed by Thomas G. Lutz M D Evansville Tnd
physician or coroner address
Place of burial or removal ����f O�kZand City� Tnd.
name of cemetery• address
Dateofburi�i �3�/$2 Colvin Princeton, Ind.
Flmeral Director address
SEAL
W L�� �° � �,�
Signed
Gibson County Health Cammissioner
Oakland City, Ind. 2/3/82
aaaress aeu
Recorded locally in book No 10 page No 58 Ftiled: 2�3�82
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��B � 1995
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